Actuary - Pricing

Blue Cross Blue Shield of Kansas

  • Topeka, Kansas
  • 30+ days ago

    Highlights

    This position leads actuarial efforts related to MA Part C and D bids, profitability analysis, and financial modeling, while providing insights and reporting to senior leadership and cross-functional stakeholders. The Actuary will play a critical role in connecting pricing and trend analysis expertise with actuarial principles to support health plan pricing, forecasting, and strategic decision-making.

    Numbers & Facts

    LocationTopeka, Kansas

    Description

    Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas.

    You Belong At Blue

    Why Join Us?

    • Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.
    • FamilyComes First: Total rewards package that promotes the idea of family first for all employees. Paid vacation and sick leave with paid maternity and paternity available immediately upon hire
    • Professional Growth Opportunities: Advance your career with ongoing training and development programs.
    • Dynamic Work Environment: Collaborate with a team of passionate and driven individuals in a work environment that promotes flexibility.
    • Trust and Stability: Work for one of the most trusted companies in Kansas with over 80 years of commitment, compassion and community.
    • Inclusive Work Environment: We pride ourselves on fostering a workplace where everyone is valued and respected.

    Benefits & Perks

    • Base compensation is only one component of your competitive Total Rewards package
      • Incentive pay program (EPIP)
      • Health/Vision/Dental insurance
      • 6 weeks paid parental leave for new mothers and fathers
      • Fertility/Adoption assistance
      • 2 weeks paid caregiver leave
      • 401(k) plan matching up to 5%
      • Tuition reimbursement
      • Health & fitness benefits, discounts and resources

    Job Summary

    The Actuary will play a critical role in connecting pricing and trend analysis expertise with actuarial principles to support health plan pricing, forecasting, and strategic decision-making. This position leads actuarial efforts related to MA Part C and D bids, profitability analysis, and financial modeling, while providing insights and reporting to senior leadership and cross-functional stakeholders.

    "This position is eligible to work remotely, hybrid or onsite in accordance with our Telecommuting Policy."

    What you'll do

    • Serve as the actuarial liaison with external consultants for Medicare Advantage Part C and D bid development.
    • Conduct profitability and forecasting analyses for Medicare Advantage plans, including cohort-level insights.
    • Translate actuarial findings into actionable business insights to support budgeting, planning, and strategy.
    • Perform ad-hoc analyses related to Star ratings, benefit changes, and regulatory impacts.
    • Communicate forecast variances and key drivers to senior leadership.
    • Monitor trends and regulatory developments across Medicare Advantage, PDP, and Medigap markets.
    • Provide strategic input on product development, pricing variables, and market positioning.
    • Participate in cross-functional workgroups focused on the strategy and performance of the over-65 product portfolio.
    • Support actuarial exhibits for regulatory filings and validate system/database changes impacting actuarial research.

    What you need

    Education and Experience
    • Bachelor's degree in Actuarial Science, Mathematics, Statistics, Finance, Economics, or a related field is required.
    • Associateship or Fellowship designation in the Society of Actuaries (SOA) and membership in the American Academy of Actuaries (AAA) required.
    • Minimum of 6 years of actuarial experience with pricing, forecasting, trend analysis, risk management, strategic planning, and/or program evaluation is required.
    • Experience with building and evaluating new actuarial models, project management, communication with senior leadership, and tracking actual to expected outcomes required.
    Knowledge/Skills/Abilities
    • In-depth knowledge of Medicare Advantage pricing, regulations, and market dynamics.
    • Proficiency in Excel, SQL, Python, R, Tableau, and/or Power BI, with experience in advanced actuarial modeling, data analysis, and visualization.
    • Knowledge of rating and underwriting regulations across multiple states as well as an understanding of health insurance marketing, sales strategies, and customer segmentation.
    • Ability to develop adaptable models for rates, reserves, and projections in a dynamic environment.
    • Lead and influence cross-functional teams to define metrics, validate assumptions, and ensure alignment with enterprise goals.
    • Present findings and recommendations to senior leadership, translating complex actuarial insights into actionable strategies.
    • Effective communication skills with the ability to explain technical concepts to non-technical audiences.
    • Mentor junior actuarial staff and contribute

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